Individual
MARY SUSAN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3516
(608) 825-3598
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3516
(608) 825-3598
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2461-024
WI
Other
Enumeration date
01/20/2009
Last updated
12/15/2020
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